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Biomedical subjects

J Debeyre

Publications and source records attributed to J Debeyre.

At least 37 records · Page 2Linked to original sources
PubMed1976

[Bracket graft arthrodesis in the surgical treatment of spondylolisthesis].

A technique of anterior lumbosacral arthrodesis is described in which a tibial graft is inserted into the sacrum and acts as a bracket against the anterior surface of the fifth lumbar vertebral body. Eighteen patients were treated. There was non-union in four but only two had unsatisfactory clinical results. The technique can be applied to moderate displacement but is particularly appropriate in grade III spondylolisthesis. It does not decrease the stability of the spine. The functional results depend on fusion and are not affected by persistent displacement.

Arthrodesis↗
PubMed1976

[Paget's disease and surgery].

Paget's disease may in some cases require recourse to surgery: (1) Fractures of bones in patients with the disease mend normally but slowly. Orthopaedic treatment is satisfactory, except for the femur where osteosynthesis is necessary. (2) Severe deformation of the lower limbs should be corrected by osteotomy when it is responsible for serious disablement. With a simple and sure technique functional improvement can be assured. (3) Coxopathy associated with Paget's disease sometimes involves sufficient invalidity to justify total arthroplasty. (4) Malignant degeneration, usually determined by biopsy, is beyond any therapeutic treatment.

Arthroplasty↗
PubMed1975

[What was the condition in 1972 of patients operated by Voss' method between 1959 to 1966?].

The authors describe the condition in 1972 of patients who were operated on by the Voss technique between 1959 and 1966 and who had been studied first in 1967. Four patients out of 10 remained satisfactory for 6 to 10 years after surgery but the progressive deterioration in the results shows that this operation does not withstand the test of time and that it has a very weak pathogenic basis.

Follow-Up Studies↗
PubMed1975

[Recentering the patella in the treatment of external femoropatellar arthrosis with displacement of the patella].

The authors report their experiences of the surgical treatment of external femoro-patellar arthrosis with displacement of the kneecap, by recentering the kneecap, on knees that were not deformed as seen from the front. This recentering of the kneecap, which was monitored during the operation by radiographs with axial projection, was obtained by internal transposition of anterior tibial tuberosity and section of the external " wing " of the patella. No inert or living material was placed between the patella and the trochlea. The reduction in pain and the improvement in articular function depend on how well the patella is recentered. Twenty-two cases of external femoro-patellar arthrosis with displacement of the kneecap were treated in this way; in 18 operations, 14 results that remained favourable for more than 6 months have encouraged the authors to continue their trials and to abandon, at least for the time being, patellectomies and patelloplasties.

Bone Nails↗
PubMed1975

[Etiological diagnosis of spondylitis. II. Vertebral puncture biopsy and surgical approach].

The authors tried to determine the ways in which vertebral puncture biopsy and the direct surgical approach can helpin the etiological diagnosis of spondylodiscitis, when the clinical radiological, and laboratory examination leave the clinician in doubt. Out of 28 vertebral puncture biopsies, proof of tuberculosis was obtained in 4 cases, and proof of a non-tuberculous cause was obtained in 1 case as a result of isolating the responsible organism. Thirty-eight cases were submitted to the direct surgical approach. When the indication for surgery was solely in order to investigate the etiology, proof of tuberculosis was obtained in half of the cases, and only exceptionally was a non-tuberculous organism discovered. In almost half the cases, the histological characteristics were non-specific and no organisms were detected. Most of these latter cases were, in fact, non-tuberculous spondylodiscitis, although subsequently some of them exhibited evidence of a tuberculous character. In the present state of knowledge, it seems that, in cases of clearly non-tuberculous spondylodiscitis, the direct surgical approach is not justified if the objective is solely to isolate the organism, so that its sensitivity to antibiotics can be tested. The following reasons are given for this conclusion : the direct surgical approach only rarely leads to isolation of the causal organism; although treatment based on knowledge of antibiotic sensitivity may help to restrict evolution of the disease, it does not reduce significantly, or only rarely, the permanent partial incapacity. If the results published by Seignon and Gougeon are confirmed, early needle puncture of the diskovertebral centre of the disease should be practised more widely.

Adolescent↗